Do we use the KX modifier on facility charges for the ASC?

Will there be a minimal amount of time between SI joint steroid injections?

Can CRNAs perform these procedures?

Do all established drug HCPCS codes require the dosage amount in its description on the claim?

Can Medicare Part B providers who bill on the professional CMS-1500 claim form, and electronic equivalent, bill unclassified drug code C9399?

Are unclassified drug codes included in average sales price (ASP) files?

CLAIMS: During the patient check in process, may we have the patient check a box on a form at each visit stating they agree to allow us to bill Medicare and have that serve as the patient’s acceptance for our filing a claim?

CLAIMS: Why would my postoperative claims deny?

CLAIMS: How do I know if a HCPCS/CPT code is subject to MUE (medically unlikely edit)?

CLAIMS: Where are comments entered on the 837P electronic claim form?

CLAIMS: Medicare is the beneficiary's secondary payer and I am receiving denials when submitting using the CMS-1500 form. How can I resolve this?

CLAIMS: When submitting an ambulance claim, do the base and mileage codes need to have the same ZIP code for the same trip?

CLAIMS: I file all my Medicare claims electronically except for Medicare Secondary Payer (MSP) claims because I thought I had to attach the primary Explanation of Benefits (EOB). Is this the correct process?

CLAIMS: How do I prevent monthly End Stage Renal Disease claims from denying?

CLAIMS: What is the correct way to submit a beneficiary name on a claim?

CLAIMS: I am receiving inconsistent payments on claims billed for the same drug. How can I prevent this?

CLAIMS: How do I submit documentation for an additional development request (ADR)?

CLAIMS: On a screening Pap smear test claim, which pointer does my diagnosis code need to be in?

MLN Connects® Newsletter: July 15, 2025

MLN Connects® Newsletter: July 15, 2025 CMS Proposes Physician Payment Rule to Significantly Cut Spending Waste, Enhance Quality Measures, and Improve Chronic Disease Management for People with Medicare Posted 7/15/2025

[RESOLVED] NGSConnex and IVR Experiencing Outages

[RESOLVED] NGSConnex and IVR Experiencing Outages We were experiencing outages with our web portal, NGSConnex and the IVR System. Part B providers were unable to check claim status, appeal status or submit appeal and reopening requests via [...]